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Healthy Divas: E2i
Healthy Divas focuses on empowering transgender women with HIV to achieve their personal health goals. Three sites implemented the intervention as part of the E2i initiative funded through the RWHAP Part F SPNS program from 2017 through 2021. Both engagement in HIV care and having an antiretroviral therapy prescription improved significantly for clients 12 months after enrollment in Healthy Divas.Resource from the RWHAP Best Practices Compilation updated on 04/18/2024
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Tailored Motivational Interviewing: E2i
Tailored Motivational Interviewing (TMI) delivers brief motivational interviewing counseling sessions customized to encourage people with HIV to engage in HIV care, take HIV medications as prescribed, and improve other health-related behaviors. Three sites implemented TMI as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017 to 2021. Clients who participated in TMI had significant improvement in engagement in care, prescription of antiretroviral therapy, retention in care, and viral suppression.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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Text Messaging Intervention to Improve Antiretroviral Adherence among HIV-Positive Youth: E2i
The Text Messaging Intervention to Improve Antiretroviral Adherence among HIV-Positive Youth (TXTXT) is designed to keep young people, particularly young, Black, gay, bisexual, same-gender loving, and other men who have sex with men, engaged in HIV medical care, by delivering personalized, daily, interactive text messages that remind them to take their antiretroviral therapy as prescribed. Two sites implemented TXTXT as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017–2021. The intervention resulted in a statistically significant improvement in engagement in HIV care.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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Project ACCEPT
Project ACCEPT is designed to improve engagement and retention in medical care for youth ages 16 to 24 years with newly diagnosed HIV. The educational and skill-building intervention was deployed at four demonstration sites and increased rates of medication use and appointment adherence in comparison to a control group. Although originally developed for cisgender youth, Project ACCEPT may be adapted for gender-diverse people.Resource from the RWHAP Best Practices Compilation updated on 01/03/2024
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Text Me, Girl!: Transgender-Specific Text Messaging to Support Care Engagement
Ninetyday theory-based, transgender-specific, automated text-messaging intervention designed to improve engagement, retention, and health outcomes along the HIV care continuum.Resource updated 02/07/2024
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Providing Gender-Affirming Care
Review of gender-affirming care issues, including key terminology, best practices in hormone therapy management, epidemiology of HIV in transgender populations, and strategies to improve HIV care and prevention in transgender communities.Resource (Conference Presentation) updated 09/14/2023
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TransActivate
Bienestar developed TransActivate to improve timely engagement and retention in HIV care among Latina transgender women. Linkage coordinators/peer navigators use a strengths-based approach to help clients reach their goals of entering and staying in medical care to ultimately reach viral suppression.Resource from the RWHAP Best Practices Compilation updated on 02/12/2024
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Wellness Web 2.0
Wellness Web 2.0 is a text message-based intervention that offers health education tools, appointment reminders, and navigation services to increase linkage to and retention in care for youth and young adults with HIV. Clients across 27 counties in South Texas enrolled in the Wellness Web 2.0 program had improvements in linkage to HIV medical care and viral suppression.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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Tailored Motivational Interviewing for Youth
Five clinics implemented Tailored Motivational Interviewing (TMI) to better serve young people with HIV as part of a RWHAP Part F SPNS initiative. Motivational interviewing is a well-documented approach to engage youth in care and facilitate behavior change in a variety of contexts. Clients participating in TMI received integrated HIV medical care and TMI, and demonstrated improved engagement in care and health outcomes.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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Text Me, Girl!
Text Me, Girl! is a text messaging intervention that aims to improve linkage to and retention in HIV care, increase adherence to HIV medications, and improve viral suppression and other health outcomes among transgender women ages 18–34 years. The intervention supports young transgender women with HIV, particularly those experiencing barriers to care such as periods of homelessness and/or incarceration, substance misuse, or engaging in sex work. Text Me, Girl! participation was associated with statistically significant improvements in antiretroviral therapy uptake and adherence, and self-reported viral suppression.Resource from the RWHAP Best Practices Compilation updated on 04/01/2024
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After Hours Drop-In Clinic
Howard Brown Health established a specialized drop-in clinic and support groups, and implemented organizational initiatives to provide culturally relevant and gender-affirming services for transgender and non-binary people, including transgender women of color. The goal of this intervention was to optimize engagement in HIV services and primary care. From 2012-2021, the number of transgender and non-binary people served in primary care at Howard Brown Health more than tripled. In addition, after 24 months, participants were more likely to have been prescribed ART and to be virally suppressed than at baseline.Resource from the RWHAP Best Practices Compilation updated on 02/20/2024
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E-VOLUTION
E-VOLUTION is a two-way text messaging intervention, originally developed by Washington University School of Medicine and piloted at Project ARK. The intervention focuses on improving health outcomes for youth, particularly young Black men who have sex with men. E-VOLUTION was designed for people ages 18-29 who have HIV and are receiving clinical care but require support to remain adherent. E-VOLUTION was evaluated and found to improve viral suppression and retention in care rates.Resource from the RWHAP Best Practices Compilation updated on 02/12/2024
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Women Informing Now: A Two-Year Retrospective Reducing Isolation and Stigma among Women of Color with HIV
Two-year retrospective exploring innovative approaches to reduce stigma and isolation among cis and transgender women of color with HIV, including women with HIV residing in rural areas not connected to care.
Resource (Conference Presentation) updated 09/14/2023
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Youth in Rural Communities: Unique Needs and Approaches to Engagement, Adherence, and Service Delivery
Overview of data on youth with HIV, their needs and programs in rural communities, and implementing initiatives to reach youth and retain them in care.
Resource (Conference Presentation) updated 09/14/2023
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Providing Gender-Affirming Care to People with HIV
Overview of the gender-affirming care and treatment services available through the RWHAP and The Fenway Institute.
Resource (Conference Presentation) updated 09/14/2023
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Replicating Evidence-Informed Interventions: Toolkit Showcase from the E2i Initiative
Overview of RWHAP SPNS E2i Initiative implementation materials.
Resource (Conference Presentation) updated 09/14/2023
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Plenary: Innovation (Ending the HIV Epidemic, National HIV/AIDS Strategy)
Applying the HIV/AIDS Bureau implementation science framework; trauma-informed care in dental settings; and review of an organization's status-neutral approach to care .
Resource (Conference Presentation) updated 09/14/2023
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Project nGage
Project nGage is a support intervention approach that offers participants an initial 90-minute session with a social work interventionist and a participant support confidant to develop a tailored care and support plan. The social work interventionist then offers four follow-up sessions to each participant to discuss progress on the care and support plan. Project nGage was evaluated in a randomized controlled trial from 2012 to 2015: participants in the intervention were more likely to have at least three HIV primary care visits in the last 12 months than those who received usual care.Resource from the RWHAP Best Practices Compilation updated on 11/30/2023
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Enhancing HIV Care of Women, Infants, Children and Youth: Building Capacity through Communities of Practice
Platform for RWHAP Part D recipients to increase the delivery of care innovations; increase the skills of staffing working with women, infant, children and youth; and support partner collaboration for dissemination of best practices.RWHAP Technical Assistance Provider updated on 05/24/2024